A 10026 (see companion bill S 8384) – New York
Introduced/Considered: 2018    Status: Inactive / Dead
PHARMACY BENEFIT MANAGER TRANSPARENCY ACT: A pharmacy benefit manager shall notify a covered entity in writing of any activity, policy, practice, ownership, interest, or affiliation of the pharmacy benefit manager that presents a conflict on …

S 8384 (see companion bill A 10026) – New York
Introduced/Considered: 2018    Status: Inactive / Dead
PHARMACY BENEFIT MANAGER TRANSPARENCY ACT: A pharmacy benefit manager shall notify a covered entity in writing of any activity, policy, practice, ownership, interest, or affiliation of the pharmacy benefit manager that presents a conflict on …

SB 1002 (see companion bill HB 1516) – Maryland
Introduced/Considered: 2018    Status: Inactive / Dead
RELATING TO UNIVERSAL HEALTH COVERAGE AND SINGLE-PAYER PROGRAM: would establish Healthy Maryland as a public corporation and a unit of State government to provide comprehensive universal health coverage for every Maryland resident; would require Healthy …

SB 3491 – Illinois
Introduced/Considered: 2018    Status: Passed
AMENDS THE NETWORK ADEQUACY AND TRANSPARENCY ACT. Provides that the Act does not apply to an individual or group policy for dental or vision insurance. Provides that a network plan shall not be subject to …

S 1863 – New Jersey
Introduced/Considered: 2018    Status: Inactive / Dead
PHARMACY BENEFITS MANAGEMENT COMPANIES: pharmacy benefits management companies, or PBM’s, must be certified by the Department of Banking and Insurance. The bill requires that certain disclosures be made to covered persons concerning their pharmacy benefits …

A 3717 (see companion bill S 728) – New Jersey
Introduced/Considered: 2018    Status: Inactive / Dead
PROHIBITS PHARMACY BENEFIT MANAGERS FROM MAKING CERTAIN RETROACTIVE REDUCTIONS IN CLAIM PAYMENTS TO PHARMACIES:  After the date of receipt of a clean claim for payment made by a pharmacy, a pharmacy benefits manager shall not …

S 728 (see companion bill A 3717) – New Jersey
Introduced/Considered: 2018    Status: Inactive / Dead
PROHIBITS PHARAMCY BENEFIT MANAGERS FROM MAKING CERTAIN RETROACTIVE REDUCTIONS IN CLAIM PAYMENTS TO PHARMACIES:  After the date of receipt of a clean claim for payment made by a pharmacy, a pharmacy benefits manager shall not …

A 2033 (see companion bill S 727) – New Jersey
Introduced/Considered: 2018    Status: Inactive / Dead
Would allow the Department of Banking and Insurance to regulate pharmacy benefit managers that fall under the category of organized delivery systems because they provide limited health care services. The bill also provides that a …

S 727 (see companion bill A 2033) – New Jersey
Introduced/Considered: 2018    Status: Inactive / Dead
Would allow the Department of Banking and Insurancet to regulate pharmacy benefit managers that fall under the category of organized delivery systems because they provide limited health care services. The bill also provides that a …

SB 5 – Kentucky
Introduced/Considered: 2018    Status: Enacted
AN ACT RELATING TO PHARMACY BENEFITS IN THE MEDICAID PROGRAM: Create a new section of KRS Chapter 205 to require the Department for Medicaid Services to directly administer all outpatient pharmacy benefits; eliminates PBMs from …

SB 481 – New Hampshire
Introduced/Considered: 2018    Status: Enacted
Establishes a committee to study the impact of pharmacy benefit manager operations on cost, administration, and distribution of prescription drugs. The study committee established in this act will review the PBM system to determine whether …

SB 46 – West Virginia
Introduced/Considered: 2018    Status: Enacted
THE PHARMACY AUDIT INTEGRITY AND TRANSPARENCY ACT. This law provides that a pharmacy, pharmacist, or pharmacy technician may inform consumers of lower cost alternatives and cost share to assist health care consumers in making informed …

SB 1079 (see companion bill HB 1349) – Maryland
Introduced/Considered: 2018    Status: Inactive / Dead
RELATING TO PHARMACY BENEFIT MANAGERS AND INFORMATION ON PRESCRIPTION DRUGS: Authorizing the Maryland Insurance Commissioner to require any additional information from a pharmacy benefits manager that may be reasonably necessary to verify information in a …

HB 873 – Georgia
Introduced/Considered: 2018    Status: Inactive / Dead
PRESCRIPTION DRUG BENEFITS FREEDOM OF INFORMATION AND CONSUMER PROTECTION ACT: Requiring an amendment to Title 33 of the Official Code of Georgia Annotated, relating to insurance, so as to provide for consumer protections and freedom …

HB 1639 – Maryland
Introduced/Considered: 2018    Status: Inactive / Dead
MARYLAND Rx PROGRAM – PHARMACY BENEFITS MANAGERS CONTRACTS WITH PHARMACIES AND PHARMACISTS. Prohibits the Department of Budget and Management from contracting with a pharmacy benefit manager if the pharmacy benefit manager has an ownership interest …

HB 1402 – Maryland
Introduced/Considered: 2018    Status: Inactive / Dead
PHARMACY BENEFITS MANAGERS – PHARMACY CHOICE. Prohibits a pharmacy benefit manager from requiring that a beneficiary use a specific pharmacy or entity to fill a prescription drug if the pharmacy benefit manager has an ownership …


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